Active NPIIndividual providerSole proprietor

Bobby De La Cruz

Counselor, Mental Health in Tigard, Oregon

NPI Number1225571797
Practice location
8915 SW Center St, Tigard, OR 97223-6307
Fax
—
Last updated
November 30, 2016

Bobby De La Cruz is a Counselor, Mental Health based in Tigard, OR. Bobby De La Cruz practices in Tigard, OR. The NPI Number for Bobby De La Cruz is 1225571797 and holds a License No. D6260667 (CA). The current practice location address for Bobby De La Cruz is 8915 SW Center St, Tigard, OR 97223-6307 and can be reached out via phone at 503-597-3872.

Provider Profile Details

NPI Number
1225571797
Provider Name
Bobby De La Cruz
Provider Entity Type
Individual
Gender
Male
Address
8915 SW Center St, Tigard, OR 97223-6307
Phone Number
503-597-3872
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2016
Last Update Date
November 30, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
8915 SW Center St
Tigard, OR 97223-6307
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-597-3872
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
8915 SW Center St
Tigard, OR 97223-6307
City
Tigard
State
OR
Zip
97223-6307
Phone Number
503-597-3872

License Information

License Number
D6260667
License State
CA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bobby De La Cruz?

The NPI number of Bobby De La Cruz is 1225571797. It was assigned on November 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Bobby De La Cruz?

Bobby De La Cruz is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CA under license number D6260667.

Where does Bobby De La Cruz practice?

The practice location is 8915 SW Center St, Tigard, OR 97223-6307. The office can be reached at 503-597-3872 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225571797 directly on the NPPES registry website.

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